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Contact Information

DR JOSE A RIVERA LLC
850 CONCOURSE PKWY S STE 200
MAITLAND, FL32751-6145
 Phone: 251-901-3011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DR JOSE A RIVERA LLC

NPI # 1649881434
LBN Legal business name DR JOSE A RIVERA LLC
Authorized official JOSE RIVERA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/14/2020
Last updated 05/14/2026 - About 3 weeks ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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